JACQUELINE DAVIS (NPI# 1730523341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730523341 |
| Entity Type | Individual |
| Full Name | JACQUELINE DAVIS |
| Credential | L.P.N |
| Practice Address |
2305 Staborn Dr Beloit WI 53511-2737 |
| Practice Telephone | 6083462301 |
| Mailing Telephone | 6083462301 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 30452-31 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366098782 | Jacqueline Davis | Technician | 430 Brushfield Park Dr, Elgin, SC 29045-8397 | 2019-08-12 |
| 1801373550 | Jacqueline Davis | Counselor | 1380 Sw Swantown Ave Apt G, Oak Harbor, WA 98277-7523 | 2018-07-25 |
| 1285126557 | Jacqueline Davis | Counselor | 1309 Northup St Ste F, Reidsville, NC 27320-5611 | 2018-06-03 |
| 1891218376 | Jacqueline Denise Davis | Home Health Aide | 5340 M St Ne, Magnolia, OH 44643-8466 | 2017-07-17 |
| 1285169730 | Jacqueline Davis | Registered Nurse | Barbel Plaza South, First Floor, Ross Building, St. Thomas, VI 00802 | 2017-04-21 |
| 1972058444 | Jacqueline Davis | Nurse Practitioner | 925 Woodland Brk, Mcdonough, GA 30253-5578 | 2016-08-24 |
| 1457623621 | Jacqueline A Davis | Counselor | 511 W Grove St Ste 204, Middleboro, MA 02346-1479 | 2012-02-03 |
| 1104137736 | Jacqueline Davis | Social Worker | 276 Cherokee Rd, Pontiac, MI 48341-2004 | 2010-06-29 |
| 1962726687 | Jacqueline Williams Davis | Pharmacist | 200 Georgia Ave, Valdosta, GA 31698 | 2010-03-24 |
| 1467574954 | Jacqueline Bryant Davis | Speech-Language Pathologist | 3572 N Tanglewood Ln, Shelbyville, IN 46176-9444 | 2007-04-04 |
| Street Address |
2305 STABORN DR |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639635493 | Jonee Michelle Ingram | Licensed Practical Nurse | 2240 Prairie Ave Ste B, Beloit, WI 53511-2648 | 2019-02-18 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1801274675 | Jayme Mchone | Licensed Practical Nurse | 1004 Townline Ave, Beloit, WI 53511-4942 | 2015-05-13 |
| 1740610260 | Kristy Dollinger | Licensed Practical Nurse | 2524 N Bootmaker Dr, Beloit, WI 53511-2331 | 2013-11-19 |
| 1326397498 | John C Hanson | Licensed Practical Nurse | 8126 W Laird Rd, Beloit, WI 53511-8374 | 2012-09-05 |
| 1194098244 | Melissa Eleanor Ditzler | Licensed Practical Nurse | 2115 Schuster Dr, Beloit, WI 53511-3145 | 2012-02-21 |
| 1871891200 | Connie M Gardiner | Licensed Practical Nurse | 2550 Edgewood Dr, Beloit, WI 53511-7031 | 2011-03-09 |
| 1487950226 | Scarletann Hessian | Licensed Practical Nurse | 852 Moore St, Beloit, WI 53511-5038 | 2011-01-26 |
| 1962720524 | Mary L Gilbertson | Licensed Practical Nurse | 2117 Colony Ct Apt B, Beloit, WI 53511-1897 | 2010-05-06 |
| 1174846133 | Lindsay A Halbach | Licensed Practical Nurse | 2637 E State Line Rd, Beloit, WI 53511-9737 | 2010-03-04 |
| Find all providers in BELOIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.